A diagnostic dilemma in pediatric osteomyelitis: a case report
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Infantile osteomyelitis is a rare disease that is infective in nature and may rapidly turn fatal, as the disease is often misdiagnosed due to its varied pre-senting signs. Early diagnosis may help in avoiding systemic involvement and permanent deformity. The disease presents with signs of orbital involve-ment, nasal congestion, and emesis, as well as other standard hallmarks of infection. Furthermore, the maxilla is a highly vascular and porous bone and the occurrence of osteomyelitis in an infant maxilla is highly uncommon. In addition, routine blood work is not suggestive of the presence of this disease. Thus, prompt diagnosis of this condition poses a challenge to surgeons due to the confusing array of symptoms combined with the rarity of the disease. One such case of osteomyelitis of the maxilla in a young child is presented. The dilemma encountered by the surgeon during the diagnosis and treatment of the disease is discussed.
Abstract
Infantile osteomyelitis is a rare disease that is infective in nature and may rapidly turn fatal, as the disease is often misdiagnosed due to its varied pre-senting signs. Early diagnosis may help in avoiding systemic involvement and permanent deformity. The disease presents with signs of orbital involve-ment, nasal congestion, and emesis, as well as other standard hallmarks of infection. Furthermore, the maxilla is a highly vascular and porous bone and the occurrence of osteomyelitis in an infant maxilla is highly uncommon. In addition, routine blood work is not suggestive of the presence of this disease. Thus, prompt diagnosis of this condition poses a challenge to surgeons due to the confusing array of symptoms combined with the rarity of the disease. One such case of osteomyelitis of the maxilla in a young child is presented. The dilemma encountered by the surgeon during the diagnosis and treatment of the disease is discussed.
참고문헌 (16)
- Dieckmann R, "Treatment of acute and chronic osteomyelitis in children", Z Orthop Unfall, 146, pp.375~380 (2008)[DOI]
- Korakaki E, "Methicillin-resistant Staphylococcus aureus osteomyelitis and septic arthritis in neonates : diagnosis and management", Jpn J Infect Dis, 60, pp.129~131 (2007)
- Feng Z, "Osteomyelitis of maxilla in infantile with periorbital cellulitis: a case report", Medicine(Baltimore), 94, pp.e1688~ (2015)[DOI]
- Khullar SM, "Sixty cases of extreme osteonecrosis and osteomyelitis of the mandible and maxilla in a West African population", Int J Oral Maxillofac Surg, 41, pp.978~985 (2012)[DOI]
- Goodé-Jolly D, "A case of acute osteomyelitis of the maxilla in infants. Current prognosis of ocular and dental manifestations", Bull Soc Ophtalmol Fr, 86, pp.1141~1144 (1986)
- Yadav S, "Chronic suppurative osteomyelitis of posterior maxilla : a rare presentation", J Oral Maxillofac Pathol, 18, pp.481~ (2014)[DOI]
- Loh FC, "Acute osteomyelitis of the maxilla in the newborn", J Laryngol Otol, 107, pp.627~628 (1993)[DOI]
- Skouteris CA, "Infantile osteomyelitis of the maxilla with concomitant subperiosteal orbital abscess : a case report", J Oral Maxillofac Surg, 53, pp.67~70 (1995)[DOI]
- Lieberman H, "Syndrome of acute osteomyelitis of the superior maxilla in early infancy", N Engl J Med, 260, pp.318~322 (1959)[DOI]
- Wilensky AO, "Osteomyelitis of the jaws in nurslings and infants", Ann Surg, 95, pp.33~45 (1932)[DOI]
- Scott EP, "Fracture with osteomyelitis of the mandible in a newborn infant", Am J Dis Child, 72, pp.411~414 (1946)[DOI]
- Sanders B, "Pediatric oral and maxillofacial surgery", pp.195~ (1979), Mosby
- Thoma KH, "Oral surgery", pp.781~ (1969), Mosby
- Davis CH, "Davis᾿ gynecology and obstetrics. Vol. 2", pp.31~ (1940), W. F. Prior Company
- 강희제, "치성감염으로 발생한 상악동염을 동반한 관골의 골수염 - 증례보고-", 대한구강악안면외과학회지, 30(3), pp.251~254 (2004), 대한구강악안면외과학회
- Street M, "Pediatric acute hematogenous osteomyelitis", J Pediatr Orthop, 35, pp.634~639 (2015)[DOI]